Health Benefits Specialist

Southcentral Foundation•Anchorage, AK

62d

About The Position

The Southcentral Foundation (SCF) Health Benefits Specialist is responsible for increasing the number of customer-owners enrolled with a third-party payer through screening and application assistance. The Health Benefit Specialist serves as support to patients and their family members to assure customers have access to all available funding, this involves working with private as well as governmental agencies, i.e., private insurance. The Health Benefits Specialist role is to determine whether customer-owner currently has a third-party payer, verify/confirm that third party payer information is current and correct. If not currently insured, the Health Benefits Specialist screens and evaluates whether customer-owner may qualify for any known payer sources, i.e., Medicaid, Medicare, Denali Kid Care, VA and Tribally Sponsored Health Insurance; and provides assistance to the customer-owner for the enrollment process.

Requirements

High school diploma or GED
Three (3) years prior experience performing administrative and customer service duties with a minimum of one-year of experience performing revenue cycle duties which can include scheduling, registration, health information management, coding, billing, and/or collections experience; OR demonstrated proficiency as an Administrative Support III or a Revenue Cycle Support at Southcentral Foundation
Associate’s degree or two (2) years benefits enrollment experience or equivalent combination of education and experience; OR demonstrated proficiency as a Health Benefits Specialist I at SCF (for Health Benefits Specialist II)
Certification as a State of Alaska - Certified Application Counselor (CAC) or obtain within 45 days of hire (for Health Benefits Specialist II)
Thorough understanding of the cultures and the needs of Alaska Native people affiliated with Cook Inlet Region, Inc. (CIRI) and Alaska Native and American Indian people within SCF’s geographical service area.
Compliance with Employee Health Procedure, including job-related employee health screening and immunizations.
For Health Care Personnel (HCP) positions, documentation of completed immunizations: MMR, Varicella, Hepatitis B, Influenza, T-dap, and COVID-19 vaccination.

Responsibilities

Increasing the number of customer-owners enrolled with a third-party payer through screening and application assistance.
Serving as support to patients and their family members to assure customers have access to all available funding.
Working with private as well as governmental agencies.
Determining whether customer-owner currently has a third-party payer.
Verifying/confirming that third party payer information is current and correct.
Screening and evaluating whether customer-owner may qualify for any known payer sources if not currently insured.
Providing assistance to the customer-owner for the enrollment process.